患者,女,16岁,右上腹痛1年余,加重3d,伴发烧,呕吐胃内容物。查体:皮肤巩膜无黄染,右上腹较对侧饱满隆起,触痛明显,无肌紧张及反跳痛。B超提示慢性胆囊炎,胆囊积液。血常规正常。入院后第2天因腹痛加重,遂行剖腹探查,术中见右上腹腔有10cm×8cm×8cm大小包 The patient, female, was 16 years old and had pain in the right upper quadrant for more than one year. He was aggravated for 3 days with fever and vomiting stomach contents. Physical examination: The skin sclera was yellow-stained, and the right upper abdomen was more bulging than the contralateral side. The tenderness was obvious, no muscle tension and rebound tenderness. B-ultrasound prompted chronic cholecystitis, gallbladder effusion. Normal blood. On the 2nd day after admission, he suffered abdominal pain and he underwent exploratory laparotomy. During the operation, see the upper right abdominal cavity with a size of 10cm×8cm×8cm.